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What is going on in V2 and V3, with a troponin I rising to 1826 ng/L at 4 hours?

Dr. Smith's ECG Blog

So we did a bedside cardiac ultrasound. Severe tricuspid regurgitation. --The That condition is tricuspid stenosis, which is rare. PEARL #3: There is a physiologic reason why pulmonary hypertension from advanced RVH may result in a qR pattern in lead V1 ( Figure-2 ). Right atrial enlargement, severe.